Risk Factors

Symptoms

The irritation in and around your anus can be a temporary condition or it may continue to bother you. Pruritus ani produces itching, soreness, and burning.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor will try to determine the cause of your condition.

Treatment

Talk with your doctor about the best treatment plan for you. Ideally, the cause of the problem will be identified and treated. For example, antibiotics may be prescribed to treat a bacterial infection. Treatment for the itching and irritation may include:

Self-care

Gently cleanse the area with water when bathing

Take a sitz bath

Dry thoroughly

Use cotton, gauze, or cornstarch to absorb moisture

Don’t scratch

Use unbleached, unscented toilet paper

Wear loose cotton clothing and underwear

Avoid irritants (such as bubble baths, certain foods)

Medication

Over-the-counter or prescription cream or ointment containing hydrocortisone or other corticosteroids to reduce itching and provide protection

Zinc oxide ointment—to provide protection

Topical capsaicin—to reduce itching

Certain medications to treat infection if this is thought to be the cause of your itching

Prevention

To help reduce your chance of pruritis ani:

Avoid tight-fitting, synthetic clothing

Try to keep the area clean and dry

Use barrier ointments

Avoid scratching at the area

Avoid using perfumes, dyes, and any other irritants on the area

Eat a healthy diet

Exercise regularly

Avoid certain medications (such as opioids or laxatives)

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.